The Medical Injectables Program is administered through Magellan Rx Management. Additional information about Magellan Rx Management and the list of injectable medications under the program may be obtained online or call 1-800-424-4508, Monday through Friday, between 8 a.m. and 5 p.m., ET.

Horizon BCBSNJ has a number of specialized service areas that provide more specific information and assistance with authorizations and pre-certification. In order for these specialized service areas to perform their functions efficiently and effectively, please seek basic benefits, enrollment and eligibility information prior to contacting our Prior Authorization Department for an authorization request. If you require documentation that a service does not require pre-certification, a Physician Services Representative can provide both the information you need and a service reference number that documents the information you were provided.

Physical Therapy Unit: Prior authorization can be obtained online. Simply log into NaviNet.net, access our Plan Central page and select Physical and Occupational Therapy Authorizations. The first 12 visits are usually authorized after a claim is received. You can also fax the Physical Therapy Authorization Form to 1-800-723-5188.

Prior-authorization requests: Most PAs can be requested online. Simply log into NaviNet.net, access our Plan Central page and select Referrals and Authorization, then Utilization Management Requests. You may also call 1-800-664-2583 or fax a request to 1-877-798-5903.

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